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h %P <br />~ANNi1Af, FF.F. and RF,PORT RF.t7iTFST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNPJERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />'Nalco -Lamar Div <br />~ M-1977-223 <br />Wiley Pit <br />February 7, 2006 <br /> <br />~ FEB 0 3 2006 <br />~Oiuision of Minerals and Geology <br />$688.00 (Due ou or before your auuiversary date) <br />Prowers <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator <br />__shall-_submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach ymir revised written annual rennrt and anmial re rno t man to this form. Please note iltat an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Wayne Adams <br />Permittee Name: Valco -Lamar Div <br />Address: P.O. Box 591 <br />Phone Number: <br />Fax Number: <br />Lamar, CO 81052 <br />(719)336-2223 <br />(719)336-2224 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />c,L- ~-r <br />Signature f Corporate Officer, Owner, or Designee <br />a -~- <br />Date <br />